Return Merchandise Authorization Request Form

Before returning products to Prior Scientific, you must obtain an RMA (Return Merchandise Authorization number). Please fill out the form below, and a Prior Scientific representative will contact you shortly regarding your request.

RMAs may be subject to an evaluation fee of $135 for all RMAs returned to Prior Scientific Inc. or £100 for all RMAs returned to Prior Scientific Ltd.

Equipment being returned to Prior Scientific must be in its original protective packaging. Equipment returned without its original packaging will incur a packaging charge to ensure the safe return shipment of the product.

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For RMA returns in China please click here.

1Shipping/Billing Information

2Product Information

3Decontamination declaration

4Declaration

5Additional Information

Shipping/Billing Information
This is the address and person that the equipment will be returned to following completion of the repair.
Company*
Name*
First Last
Email*
Phone*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Different billing address
- Please check if billing address is different from shipping address
Billing Address
This is the address and contact for any correspondence relating to charges incurred for during the RMA process. Distributor details should be entered here where equipment is under service contract/warranty and is being shipped directly between Prior Scientific and the owner of the equipment
Company*
Name*
First Last
Email*
Phone*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Product Information
Please enter the part number and serial number (where applicable) of each piece of equipment. If you are unsure please contact Prior Scientific. Stage part and serial numbers can be found on a label fixed to the underside of the stage.
Product Number/Model Number*
Serial Number*
Product Number/Model Number
Serial Number
Product Number/Model Number
Serial Number
Product Number/Model Number
Serial Number
Product Number/Model Number
Serial Number
Product Number/Model Number
Serial Number
Fault Description*
Please describe in as much detail as possible the nature of the problem with your equipment

Decontamination declaration
All equipment returned to Prior Scientific must be decontaminated appropriately.

RMA Decontamination guidance
*
- Please confirm that you have read and understood the decontamination guidance by ticking the box
Equipment used*
- If all the equipment has not been used, please tick the box
- If all the equipment has been used, please tick the box
Have any substances been in contact with the equipment?*
- Yes
- No
Substances

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Cleaning agents

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Legally binding ‘safe to handle’ declaration
By ticking the below box you are declaring the following:*
1. You are a competent person who has knowledge of the substances used with the equipment
2. You have made reasonable enquiry as to the substances in contact with the equipment
3. The information given is accurate and no information has been withheld
4. The decontamination methods are in accordance with your own health and safety procedures
5. All surfaces of the equipment are safe to touch
- I hereby declare that the equipment due to be returned to Prior Scientific is safe to handle
Signatory’s name
- If you have followed the decontamination guidance but believe there may be inaccessible contaminants or other substances (e.g. between stage plates) please tick here. Ticking below does not invalidate the safe to handle declaration.
Please indicate below any handling instructions, for example if protective equipment is required, for any possible internal contamination*

Additional Information
If you have relevant information please complete the following fields to help us with processing your RMA request
Purchase Order Number
Sales Order Number
Prior Scientific Contact Person
Invoice Number
Software Being Used
Software Version
Date of purchase
DD dash MM dash YYYY
Please add any images the equipment which may help us to diagnose the problem
Drop files here or

Max. file size: 16 MB.
*
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Name
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Return Merchandise Authorization Request Form

Shipping/Billing Information

Billing Address

Product Information

Decontamination declaration

Legally binding ‘safe to handle’ declaration

Additional Information

Customer Support

Contact

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